The Digital Governance Standards Institute (DGSI) has launched new exploratory work to develop a national standard for Patient-Visible and Accountable Artificial Intelligence in Clinical Decision Support (AI-CDSS). This initiative responds to the rapid growth of AI tools in healthcare and the urgent need for transparent, safe, and equitable integration of AI into clinical decision-making.
The exploratory work will examine how AI-enabled clinical decision support systems can deliver meaningful transparency to patients, ensure clear accountability for clinicians, and operate within Canada’s digital health interoperability frameworks. The initiative aligns with the priorities identified in the CDA-AMC 2025 Watch List and builds on federal guidance such as the Treasury Board Secretariat’s Directive on Automated Decision-Making.
“Patients increasingly interact with AI tools—both inside and outside the health system. This standard aims to ensure that the AI influencing their care is governed, trustworthy, and understandable,” said Darryl Kingston, Executive Director of DGSI.
The proposed work will explore requirements related to governance, data interoperability, bilingual AI decision summaries, post-market monitoring, algorithmic bias surveillance, and the use of a Unique AI Identifier (UAII) to support accountability across clinical workflows.
DGSI invites participation from patients, clinicians, industry innovators, policymakers, researchers, and digital health organizations as this exploratory phase gets underway. Consult it HERE.
About the Digital Governance Standards Institute (DGSI)
The Digital Governance Standards Institute develops digital technology governance standards fit for global use. The Institute works with experts, as well as national and global partners and the public to develop national standards that reduce risk to Canadians and Canadian organizations adopting and using innovative digital technologies in today’s digital economy. The Institute is an independent division of the Digital Governance Council. To learn more about the organization and its initiatives, visit www.dgc-cgn.org or contact info@dgc-cgn.org.